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        <title>Nambrena Industria Publicitaria</title>
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                    <img src="images/index.logo.png" width="388" height="429" alt="">
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                <div id="content-form" class="form_gradiente">
					<form id="MainForm">
						<fieldset id="xy_fields">
                            <p><label for="ancho">Ancho</label><input id="ancho" name="ancho" type="number" class="text" min="1" required/></p>
                            <p><label for="alto">Alto</label><input id="alto" name="alto" type="number" class="text" min="1" required/></p>
                            <p><button class="boton gray" id="xy_ok" type="button" onclick="show_alert()">OK</button>
						</fieldset>
						<fieldset id="final_fields">
                            <p><label for="nombre">Nombre</label><input id="nombre" name="nombre" type="text" class="text" required/>
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                            <p><label for="apellido">Apellido</label><input id="apellido" name="apellido" type="text" class="text" required/>
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                            <p><label for="empresa">Empresa</label><input id="empresa" name="empresa" type="text" class="text" required/>
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                            <p><label for="email">Email</label><input id="email" name="email" type="email" class="text" required/>
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                            <p><label for="email_verificacion">Email de Verificacion</label><input id="email_verificacion" name="email_verificacion" type="email" class="text" required/>
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                            <p><label for="telefono">Telefono</label><input id="telefono" name="telefono" type="tel" class="text" required/>
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                            <p><label for="departamento">Ubicacion</label><input id="departamento" name="departamento" type="text" class="text" required/>
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                            <p><label for="direccion">Direccion</label><input id="direccion" name="direccion" type="text" class="text" />
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                            <p><label for="hora_trabajo">Hora de Trabajo (hh:mm)</label><input id="hora_trabajo" name="hora_trabajo" type="time" class="text" required=/>
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                	<p>Hola que tal</p>
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